| NPI | 1386995165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 235246) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 80598) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2021-11-24 |